Provider Demographics
NPI:1104669456
Name:CYTOHEAL WOUND SOLUTIONS PLLC
Entity type:Organization
Organization Name:CYTOHEAL WOUND SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBBAN
Authorized Official - Middle Name:ARIEL
Authorized Official - Last Name:SICA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-799-7733
Mailing Address - Street 1:37 LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-2446
Mailing Address - Country:US
Mailing Address - Phone:203-605-1452
Mailing Address - Fax:885-921-4838
Practice Address - Street 1:385 PEMBROKE ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NH
Practice Address - Zip Code:03275-3235
Practice Address - Country:US
Practice Address - Phone:603-824-5009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty